JMJ Nampa LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

JMJ NAMPA LLC

Doing business as

Nampa Orthodontics

Practice address

914 12TH Ave Rd
Nampa, ID 83686

Phone

(208) 468-9191

NPI assigned

Sep 19, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Payne D. Payne, DMD

Title

President

Phone

(208) 884-4466

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Nampa Orthodontics Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joel E Whitt, D.M.D.

  • Pediatric Dentistry
  • Meridian, ID
  • NPI 1326098682
  NPD
• Ralph Hutchison Francis, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Nampa, ID
  • NPI 1174723472
  NPD (past)
• Daron R Stevens, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kailua, HI
  • NPI 1114933553
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1154805786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3289 N TOWERBRIDGE WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836468347",
            "telephone_number": "208-884-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 12TH AVE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "83686",
            "telephone_number": "208-468-9191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 S Valley Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836862985",
            "country_code": "US",
            "telephone_number": "208-468-9191",
            "fax_number": "208-466-7479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JMJ NAMPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "MICHAEL PAYNE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-884-4466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEDIATRIC DENTIST",
            "identifier": "=========",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nampa Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nampa Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sierra Jeppesen
• Justin David Jesperson, DC
• Courtney E Jessen, CSFA
• Rebecca Jimenez
• JKB Orthodontics
• JMJ Practice Holdings, LLC
• JMJ Practice Holdings, LLC
• Joel R. Bingham, DDS, PC (Dba: Premier Dental Care)
• Michael P Johanson, MPT
• Jarom L John, DDS

• Orthodontics and Dentofacial Orthopedics Dentistry in Nampa, ID
• Providers in Nampa, ID by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.